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09/24/2009

Beware: Your computer may be or already has been attacked by "rogue ware," the latest and one of the most aggressive, fastest-growing cybercrimes. Rogue ware operates like this: You get an "urgent" message saying your computer has a virus and you can buy software to eradicate the virus for a price typically between $49.95 to $79.95

09/24/2009

Consider an alternative Physician Quality Reporting Initiative (PQRI) reporting option in 2010 if you are unsatisfied with claims-based reporting (see PQRI claims-based reporting story).

09/24/2009

This week's Benchmark of the Week shows changes in payment for 10 of the most frequently billed drugs on CMS's Average Sales Price (ASP) list from 2006 to 2009. Most of these drug codes are used for common conditions such as asthma, cancer and renal disease; the three big losers, with double-digit percent drops, were all for albuterol or levalbuterol.

09/24/2009

You may soon have the opportunity to screen Medicare patients for HIV when your physicians believe the patient might have the virus or have risked contracting it.

09/24/2009

If an established patient has not visited the office in a couple of years, when can he/she be considered "new" at the next visit? What extra documentation should we include with the first claim?

09/24/2009

Get your new non-physician practitioner (NPP) acclimated to your practice by using these five transition strategies. Your peers say the transition is slow at first, but the NPP can better help your practice manage your current patient base and help you expand. 

09/24/2009

In other words, the greater an NPP's compensation to collections ratio, the smaller the amount of revenue earned by the practice as a result of the NPP's work. This means that the NPPs on the low end - like physical therapists and PAs who work in family practices - provide the most revenue to the practice, says David Litzau, survey analyst for the MGMA in Denver. 

09/24/2009

The three top earners - certified registered nurse anesthetists (CRNAs), chiropractors and surgical physician assistants (PAs) - each hit triple digits. Physical therapists were paid the least on average.

09/24/2009

We recently moved to an office suite in a hospital. Our doctors say we can bill incident-to when our nurse practitioners see patients in our office while the doctors see patients in the hospital because they're in the same building. I know this is wrong, but I've been challenged to "prove it." Can you direct me to any documentation from Medicare that will settle this question?

09/17/2009

This week's question is answered by Regan Bode, CPC, senior consultant for DecisionHealth Professional Services.

Q. Can we provide regular blood glucose monitoring (finger sticks) for patients who have a diagnosis of diabetes?

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